Staub, John

Staub, John is an individual health care provider with primary practice located at 615 Herndon Ave Suite G, Orlando FL 32803-5138. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Staub, John can be contacted via phone (407) 228-9599.

Contact Information

Primary practice address
615 Herndon Ave Suite G Orlando FL 32803-5138
Phone: (407) 228-9599
Fax: (800) 440-0693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8270 Florida

Profile Details

NPI number 1629062047
LBN Legal business name Staub, John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629062047 NPPES
Florida Other 70221 BLUE CROSS / BLUE SHIELD

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